Organization · Type 2 NPI
Imani Community Outreach Center
Private Vehicle · Kosciusko, MS
NPI number
1154765808
Active
Practice location
301 E Jefferson St
Kosciusko, MS 39090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 45383910 (MS) |
| Private Vehicle Primary | 347C00000X | None listed |
| Respite Care | 385H00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
7 other providers at this address
- Imani Community Out Reach CenterPreferred Provider Organization Kosciusko, MS NPI 1295174555
- Imani Community Outreach CTRDriver Kosciusko, MS NPI 1669749081
- Imani Community Outreach CTR IncHome Health Agency Kosciusko, MS NPI 1912264250
- Imani Community Outreach CenterHomemaker Kosciusko, MS NPI 1245502962
- Imani Community Outreach CenterSocial Worker Kosciusko, MS NPI 1467728360
- Imani Community Outreach CenterOccupational Therapist Kosciusko, MS NPI 1477829182
- Imani Community Outreach CenterPhysical Therapist Kosciusko, MS NPI 1912273624
About NPI 1154765808
Imani Community Outreach Center's National Provider Identifier is 1154765808, issued on Apr 24, 2013. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Kosciusko, MS. The record was last updated on Jul 21, 2022.